| NPI | 1831571298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL P17241) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-13524) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |